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Please scroll down to view the complete list. If you have any questions, contact the Director of Human Resources for assistance.
| LEAVE FORMS | |
| HPS-L1 | Request for Leave or Approved Absence |
| HPS-L2 | Advanced Leave Agreement |
| HPS-L3 | FMLA Employee Form (Non-HTA) |
| HPS-L4 | FMLA Employee Form (HTA) |
| DOL-WH380E | FMLA Health Care Provider Form-Employee's Own Health Condition |
| DOL-WH380F | FMLA Health Care Provider Form-Family Member's Health Condition |
| DOL-WH384 | FMLA Military Leave-Qualifying Exigency |
| DOL-WH385 | FMLA Military Leave-Covered Service Member's Health Condition |
| BENEFIT FORMS | |
| Miscellaneous: | |
| HPS-B1 | Section 125 Cafeteria Plan Employee Waiver/Election & Compensation Reduction Agreement |
| DHCFR-EHIRD11 | MA Health Insurance Responsibility Disclosure (HIRD) 2011 |
| TOH-B1 | Town of Hopkinton HIPAA Privacy Notice |
| TOH-B2 | Town of Hopkinton HIPAA Privacy Acknowledgement |
| HPS-B3 | Employee Assistance Program (EAP) Information |
| Flexible Spending Accounts: | |
| HPS-B3 | Benefit Strategies Flex Spending Account Information |
| BENST-1 | Benefit Strategies Flex Spending Account Reimbursement |
| BENST-3 | Benefit Strategies Medical Flex Eligible Expenses |
| BENST-2 | Benefit Strategies Flex Spending Account Enrollment '11-'12 |
| | Health Insurance (Medical): |
| TFT-1 | Tufts Enrollment/Change Form (use for all Tufts products) |
| TFT-2 | Tufts HMO Premium Summary of Benefits |
| TFT-3 | Tufts Advantage HMO Summary of Benefits |
| TFT-HMO | Tufts Advantage & Premium HMO General Benefit Information |
| TFT-4 | Tufts Carelink PPO Summary of Benefits |
| TFT-PPO | Tufts Carelink PPO General Benefit Information |
| TFT-5 | Tufts Health Care Fitness Reimbursement Form |
| TFT-6 | Tufts Pharmacy Review Request Form |
| | Health Insurance (Dental): |
| DEL-1 | Delta Dental Enrollment/Change Form |
| DEL-2 | Delta Dental Premiere Voluntary Plan Information |
| DEL-3 | Delta Dental Premiere Voluntary Enhanced Plan Information |
| ASRT-1 | Assurant Dental Summary & Enrollment FY 12 |
| Long-Term Disability Insurance: | |
| SL-1 | Sun Life Long-Term Disability Enrollment Form |
| SL-2 | Sun Life Long-Term Disability Claim Form |
| SL-3 | Sun Life Long-Term Disability Evidence of Insurability Form |
| Life Insurance: | |
| BOS-A | Boston Mutual Voluntary Life Information |
| BOS-1 | Boston Mutual Life Evidence of Insurability Form |
| BOS-2 | Boston Mutual Authorization for Release |
| BOS-3 | Boston Mutual Life Enrollment/Declination Form |
| RETIREMENT PLAN FORMS | |
| MCR-1 | Middlesex County Retirement Board Enrollment Form |
| OBRA-1 | OBRA (Mandatory Deferred Comp Plan) Information Sheet |
| OBRA-2 | OBRA Acknowledgement Card |
| OBRA-3 | OBRA Smart Plan Information Guide |
| TOH-B3 | Town of Hopkinton Retiree Exit Form (to elect retiree health benefits) |
| CPI-0 | 403(b) Information Sheet |
| CPI-1 | 403(b) Elective Deferral & Vendor Election Form |
| CPI-2 | Approved 403(b) Plan Vendor List |
| CPI-3 | CPI Participant Website Instructions-403(b) |
| CPI-4 | Request for a Contract Exchange-403(b) |
| CPI-5 | Request for a Loan Voucher-403(b) |
| CPI-6 | Request for a Hardship Withdrawl Voucher-403(b) |
| CPI-7 | Request for a Distribution-403(b) |
| PROFESSIONAL DEVELOPMENT FORMS | |
| HPS-PD1 | Request for Conference Attendance |
| HP-PD Instructions | Coursework Procedures Information Sheet |
| HPS-PD2 | Intent to Submit |
| HPS-PD3 | Course Approval |
| HPS-PD4 | Tuition Reimbursement and/or Course Credit Request |
| HPS-PD5 | Summer Curriculum Project Proposal |
| HPS-PD6 | Inservice Course Credit Award Program Guidelines |
| HPS-PD7 | Inservice Course Credit Approval |
| HPS-PD8 | Inservice Course Certificate of Successful Completion |
| PERFORMANCE EVALUATION TEMPLATES | |
| HPS-EVALSS/AA | Evaluation Form - Secretarial Support/Administrative Assistants |
| HPS-EVALTA/SpEd | Evaluation Form - Special Education Teaching Assistants |
| HPS-EVALTA/GenEd | Evaluation Form - General Education Teaching Assistants |
| RECRUITING FORMS FOR ADMINISTRATORS | |
| HPS-R1 | Request for Approval to Begin Hire |
| HPS-R6 | Interview Confidentiality Statement |
| HPS-CR | Candidate Interview Rating Sheet-Numerical Score Format |
| HPS-CR1-LIK | Candidate Interview Rating Sheet-Likert Scale Format |
| HPS-R2 | Highly Qualified Teacher Checklist |
| HPS-R3 | Highly Qualified Teacher Status Certificate |
| HPS-R4 | Recommendation to Hire |
| HPS-R5 | Release & Waiver of Confidentiality |
| HPS-REF1 | Reference Check |
| MISCELLANEOUS NEW HIRE FORMS | |
| FED-I9Y | Employment Eligibility Verification (I-9) |
| SSA-1945 | Statement Concerning Your Employment in a Job Not Covered by Social Security |
| SSA-0510045 | Windfall Elimination Provision Fact Sheet |
| SSA-0510007 | Government Pension Offset Fact Sheet |
| SSA-0510051 | How State & Local Government Employees Are Covered by Social Security & Medicare |
| HPS-NH1 | District Property Inventory |
| MA-EP | Employment Permit Application for 14 through 17 year-olds |
| PAYROLL FORMS | |
| MA-M4 | MA Employee's Withholding Exemption Certificate (MA M-4) |
| FED-W4 | Employee's Withholding Allowance Certificate (Federal W-4) |
| HPS-TA1 | Non-Exempt & Contingent Employee's Time Sheet |
| HPS-P1 | Direct Deposit Request |
| HPS-CURR | Time Sheet for Curriculum Work Submission |
| MISCELLANEOUS FORMS | |
| HPS-M1 | Employee's Request for Reasonable Accommodation |
| HPS-EH | Employee Handbook 2011-2012 |
| HPS-EHA | Employee Handbook Acknowledgement Form-Understanding by Employee |
| TOH-M1 | Town of Hopkinton Hold Harmless for Volunteers |
| HPS-IR | Incident Report |
| HPS-SIA | Student Injury/Accident Report |
| HPS-EIR | Employee Personal Injury Report |
| HPS-EX1 | Mileage & Expenses Reimbursement Request (non-HTA) |
| MA-ETH | Summary of the Conflict of Interest Law for Municipal Employees |
| SUBSTITUTE PACKET FOR ADMINISTRATORS | |
| SUB-1 | Substitute Teacher/Nurse Packet Instructions |
| SUB-2 | Substitute Teacher Application |
| SUBN-2 | Substitute Nurse Application |
| SUB-3 | Substitute Interview Rating Form |
| SUB PAY | Substitute Pay Rate Information |
| OBRA-1 | OBRA (Mandatory Deferred Comp Plan) Information Sheet |
| OBRA-2 | OBRA Acknowledgement Card |
| OBRA-3 | OBRA Smart Plan Information Guide |
| SSA-1945 | Statement Concerning Your Employment in a Job Not Covered by Social Security |
| FED-I9Y | Employment Eligibility Verification (I-9) |
| FED-W4 | Employee's Withholding Allowance Certificate (Federal W-4) |
| MA-M4 | MA Employee's Withholding Exemption Certificate (MA M-4) |
| SUB-3 | Substitute Teacher Job Description |
| HANDBK | Substitute Handbook |
| HDBK-ACK | Understanding by Substitute (Handbook Acknowledgement) |
| MA-ETH | Summary of the Conflict of Interest Law for Municipal Employees |
| VOLUNTEER PACKET (for those volunteering in the schools) | |
| CORI-SUB | CORI Application for Volunteers |
| CON-INT | Summary of Conflict of Interest Law |
| HOLD-HARMLESS | Hold Harmless for Volunteers |
